Individual provider Active NPI

Katrina Rollins, CNM

  • Advanced Practice Midwife
  • Coral Springs, FL
National Provider Identifier
1497126221
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP9409101 Issued in FL
Practice address
8110 Royal Palm Blvd
Suite 108
Coral Springs, FL 33065-5795
Phone
(954) 341-8288
Fax
(954) 341-5165
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9409101 FL
Advanced Practice Midwife 367A00000X ARNP9409101 FL Primary

Addresses

Primary practice location

8110 Royal Palm Blvd
Suite 108
Coral Springs, FL 33065-5795

Mailing address

8110 Royal Palm Blvd
Suite 108
Coral Springs, FL 33065-5795
Phone (954) 341-8288

Other identifiers 1

IdentifierTypeStateIssuer
015319600MedicaidFL

Other names 1

  • Katrina Colbourne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161018000894 FL Practitioner - Certified Nurse Midwife (CNM) 9931497377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP9409101FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seth J Herbst MD PA PastSince May 15, 1997 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katrina.colbourne@hca4.eclinicaldirectplus.com
  • Direct secure messaging: katrina.rollins.1@29536.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1497126221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 ROYAL PALM BLVD",
            "address_2": "SUITE 108",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655795",
            "telephone_number": "954-341-8288",
            "fax_number": "954-341-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 ROYAL PALM BLVD",
            "address_2": "SUITE 108",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655795",
            "telephone_number": "954-341-8288",
            "fax_number": "954-341-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "KATRINA",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9409101",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9409101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015319600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "COLBOURNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.